Individual provider Active NPI

Daniel Epshtein, O.D

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1750763769
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008288 Issued in NY
Practice address
3825 Maple Ave
Brooklyn, NY 11224-1313
Phone
(718) 805-0700
Fax
(718) 805-5621
NPI assigned
Jun 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008288 NY Primary

Addresses

Primary practice location

3825 Maple Ave
Brooklyn, NY 11224-1313

Mailing address

3825 Maple Ave
Brooklyn, NY 11224-1313
Phone (718) 805-0700

Other identifiers 1

IdentifierTypeStateIssuer
04176812MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826001984 NY Practitioner - Optometry 0446566194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2015
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

33 W 42ND St
New York, NY 10036-8005
Phone (212) 938-4001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008288NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Optometrist CurrentSince Nov 5, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Optometrist CurrentSince May 1, 2020 Accepting new patients
Comfort Vision Inc. CurrentSince Jul 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2020 Accepting new patients
State of New York Comptrollers Office CurrentSince Nov 5, 2024 Accepting new patients

Locations

1594 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 343-0539

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

University Eye Ctr
New York, NY 10087

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

Interoperability endpoints

  • Direct secure messaging: daniel.epshtein.p1@direct.opt.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1750763769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 MAPLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241313",
            "telephone_number": "718-805-0700",
            "fax_number": "718-805-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 MAPLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241313",
            "telephone_number": "718-805-0700",
            "fax_number": "718-805-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSHTEIN",
        "first_name": "DANIEL",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04176812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.